Skip navigation
Agenda

Methodologies for Contract Innovations

August 22-23, 2018
  • Chicago, IL

Agenda

Want more agenda details? Download the brochure.

DAY ONE WEDNESDAY, AUGUST 22, 2018

7:00

Registration and Continental Breakfast

8:00

Chairman’s Welcome and Opening Remarks

Tariq Butt, MD
Vice President, Health Affairs
Access Community Health Network (ACCESS)

8:15

Lessons in PBM Procurement —
A Logical Approach to an Illogical Category

Garrett Brown, JD
Assistant General Counsel
Employers Health Coalition

9:00

Innovative Pricing Strategies —
Value Based Contracts versus Reference Based

Nick Page, PharmD
Vice President, Specialty & Clinical Operations
US Specialty Care

9:45

Achieving Clarity for Better Decision Making on Structure of PBM Contracts

Brandy Millen, ASA, MAAA
Consulting Actuary
Milliman

10:30

Networking and Refreshment Break

11:00

Innovative Models for Managing Pharmacy Benefits

Tim Thomas, RPh
Pharmacist, Owner
Crystal Clear Rx

11:45

Chasing Rebates — It’s Not About the Sprint

Matthew Gibbs
Chief Commercial Officer
EnvisionRx

12:30

Networking Luncheon

1:30

RFPs — Establishing Categories for Comparison of Vendors Including Strategy, Objectives and Requirements

Arlene Edlin
General Manager, Sales
Navitus Health

2:15

Define the Risks and Benefits of Discounts through Tiered and Select Pharmacy Networks

Kevin Krakowski
Regional Vice President of Sales
Truveris

3:00

How Contract Transparency Benefits Everyone

Sean Walsh
Vice President, Pricing Strategy
BeneCard PBF

3:45

Networking and Refreshment Break

4:15

Value Based Drug Pricing — Using the ICER Value Price Threshold of $150,000 per Quality Adjusted Life-Year (QALY)

Joseph Fuhr
Professor of Economics
Widener University

5:00

PANEL DISCUSSION Impact of Acquisitions and Horizontal Integration in the PBM Industry

MODERATOR:

Sandra Morris, RN, MSN
President
About Quality Benefits

PANELISTS:

Matthew Gibbs
Chief Commercial Officer
EnvisionRx

Ronald Weston
Director, Business & Community Development, Sales
AIDS Healthcare Foundation

Cheryl Larson
President and CEO
Midwest Business Group on Health

5:45

Close of Day One

Networking, Wine and Cheese Reception immediately following the final session on day one

DAY TWO THURSDAY, AUGUST 23, 2018

8:00

Continental Breakfast

8:30

Chairman’s Review of Day One

Tariq Butt, MD
Vice President, Health Affairs
Access Community Health Network (ACCESS)

8:45

Maintain Mutual Organizational Goals through Implementation of Regular PBM Assessments

John R. Miller
Executive Director
MidAtlantic Business Group on Health

9:30

Specialty Clinical Management — Evaluating PBM versus Third-Party Managers for Savings on Drug Spends

Tariq Butt, MD
Vice President, Health Affairs
Access Community Health Network (ACCESS)

10:15

Networking and Refreshment Break

10:45

The Need to Transform Pharmacy Benefits —
Challenges and Strategies

Cheryl Larson
President and CEO
Midwest Business Group on Health

11:30

CASE STUDY Healthier Patients with Better Patient Management Technology

Dan DiStefano, MBA, PharmD
Vice President
Curexa Pharmacy

12:15

Networking Luncheon

1:30

Protecting Your Company’s and Employees’ Financial Assets —
Tips on Thinking Outside-of-the-Box for Development of Your Prescription Benefits Plan Design and Contracts

Sandra Morris, RN, MSN
President
About Quality Benefits

2:15

INTERACTIVE SESSION What Are My Options? A Pragmatist’s Checklist for Managing New Therapies and Runaway Costs

Terri Bernacchi, PharmD, MBA
President
SME Health Systems, LLC

3:30

Close of Conference

Agenda

Want more agenda details? Download the brochure.

Want more agenda details? Download the brochure.

DAY ONE WEDNESDAY, AUGUST 22, 2018

7:00

Registration and Continental Breakfast

8:00

Chairman’s Welcome and Opening Remarks

Tariq Butt, MD
Vice President, Health Affairs
Access Community Health Network (ACCESS)

8:15

Lessons in PBM Procurement —
A Logical Approach to an Illogical Category

Garrett Brown, JD
Assistant General Counsel
Employers Health Coalition

9:00

Innovative Pricing Strategies —
Value Based Contracts versus Reference Based

Nick Page, PharmD
Vice President, Specialty & Clinical Operations
US Specialty Care

9:45

Achieving Clarity for Better Decision Making on Structure of PBM Contracts

Brandy Millen, ASA, MAAA
Consulting Actuary
Milliman

10:30

Networking and Refreshment Break

11:00

Innovative Models for Managing Pharmacy Benefits

Tim Thomas, RPh
Pharmacist, Owner
Crystal Clear Rx

11:45

Chasing Rebates — It’s Not About the Sprint

Matthew Gibbs
Chief Commercial Officer
EnvisionRx

12:30

Networking Luncheon

1:30

RFPs — Establishing Categories for Comparison of Vendors Including Strategy, Objectives and Requirements

Arlene Edlin
General Manager, Sales
Navitus Health

2:15

Define the Risks and Benefits of Discounts through Tiered and Select Pharmacy Networks

Kevin Krakowski
Regional Vice President of Sales
Truveris

3:00

How Contract Transparency Benefits Everyone

Sean Walsh
Vice President, Pricing Strategy
BeneCard PBF

3:45

Networking and Refreshment Break

4:15

Value Based Drug Pricing — Using the ICER Value Price Threshold of $150,000 per Quality Adjusted Life-Year (QALY)

Joseph Fuhr
Professor of Economics
Widener University

5:00

PANEL DISCUSSION Impact of Acquisitions and Horizontal Integration in the PBM Industry

MODERATOR:

Sandra Morris, RN, MSN
President
About Quality Benefits

PANELISTS:

Matthew Gibbs
Chief Commercial Officer
EnvisionRx

Ronald Weston
Director, Business & Community Development, Sales
AIDS Healthcare Foundation

Cheryl Larson
President and CEO
Midwest Business Group on Health

5:45

Close of Day One

Networking, Wine and Cheese Reception immediately following the final session on day one

DAY TWO THURSDAY, AUGUST 23, 2018

8:00

Continental Breakfast

8:30

Chairman’s Review of Day One

Tariq Butt, MD
Vice President, Health Affairs
Access Community Health Network (ACCESS)

8:45

Maintain Mutual Organizational Goals through Implementation of Regular PBM Assessments

John R. Miller
Executive Director
MidAtlantic Business Group on Health

9:30

Specialty Clinical Management — Evaluating PBM versus Third-Party Managers for Savings on Drug Spends

Tariq Butt, MD
Vice President, Health Affairs
Access Community Health Network (ACCESS)

10:15

Networking and Refreshment Break

10:45

The Need to Transform Pharmacy Benefits —
Challenges and Strategies

Cheryl Larson
President and CEO
Midwest Business Group on Health

11:30

CASE STUDY Healthier Patients with Better Patient Management Technology

Dan DiStefano, MBA, PharmD
Vice President
Curexa Pharmacy

12:15

Networking Luncheon

1:30

Protecting Your Company’s and Employees’ Financial Assets —
Tips on Thinking Outside-of-the-Box for Development of Your Prescription Benefits Plan Design and Contracts

Sandra Morris, RN, MSN
President
About Quality Benefits

2:15

INTERACTIVE SESSION What Are My Options? A Pragmatist’s Checklist for Managing New Therapies and Runaway Costs

Terri Bernacchi, PharmD, MBA
President
SME Health Systems, LLC

3:30

Close of Conference